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实体器官移植受者侵袭性真菌感染的流行病学:印度视角

Epidemiology of Invasive Fungal Infections in Solid Organ Transplant Recipients: an Indian Perspective.

作者信息

Sharma Megha, Rudramurthy Shivaprakash M, Chakrabarti Arunaloke

机构信息

Department of Microbiology, All India Institute of Medical Sciences, Bilaspur, India.

Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Curr Fungal Infect Rep. 2022;16(4):179-187. doi: 10.1007/s12281-022-00446-w. Epub 2022 Oct 20.

Abstract

PURPOSE OF REVIEW

This review summarizes the available Indian data on epidemiology of invasive fungal infections (IFI) in recipients of solid organ transplants (SOT). The epidemiology is further compared with studies from other parts of the world for each SOT type.

RECENT FINDINGS

The available studies on Indian epidemiology of IFI in SOT are scarce, though the number of SOTs performed in India have increased tremendously in recent years. The limited data from India present a distinct spectrum of infection in transplant recipients with high incidence of mucormycosis. During COVID-19 outbreak, IFI rate increased and renal transplant recipients acquired mucormycosis earlier than previous studies.

SUMMARY

Maximum data on IFI was available from renal transplant recipients, wherein mucormycosis was the predominant IFI in Indian patients in contrast to invasive candidiasis in majority countries. The other IFIs had varied spectrum. With the increasing number of SOTs being performed and the already persisting high burden of IFI in India, there is an urgent need of larger prospective studies on epidemiology of IFI in transplant recipients.

摘要

综述目的

本综述总结了印度实体器官移植(SOT)受者侵袭性真菌感染(IFI)的现有流行病学数据。并针对每种SOT类型,将该流行病学情况与世界其他地区的研究进行了进一步比较。

最新发现

关于印度SOT受者IFI流行病学的现有研究很少,尽管近年来印度进行的SOT数量大幅增加。来自印度的有限数据显示,移植受者的感染谱独特,毛霉菌病发病率很高。在新冠疫情期间,IFI发生率上升,肾移植受者比以往研究更早感染毛霉菌病。

总结

关于IFI的最大数据来自肾移植受者,其中毛霉菌病是印度患者中主要的IFI,这与大多数国家的侵袭性念珠菌病形成对比。其他IFI的感染谱各不相同。随着印度进行的SOT数量不断增加,且IFI负担一直居高不下,迫切需要对移植受者IFI的流行病学开展更大规模的前瞻性研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ce/9582387/5d2ebb62808b/12281_2022_446_Fig1_HTML.jpg

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